Research Article

Morphological Retrospective Study of Peritoneal Biopsies from Patients with Encapsulating Peritoneal Sclerosis: Underestimated Role of Adipocytes as New Fibroblasts Lineage?

Table 3

Results of immunohistochemical quantifications of mesothelio-mesenchymal transdifferentiation process, evaluation of interstitial inflammation, and vasculature in peritoneal biopsies samples from controls, case of acute peritonitis, and patients with encapsulating peritoneal sclerosis.

Control 1Control 2Case of acute peritonitisCase EPS 1Case EPS 2Case EPS 3

Markers of mesothelial cells phenotype
AE1/AE3
 Mesothelium(+++)(+++)(+++)0(0)0
 Interstitium 000(+++)(+++)(+++)
Calretinin
 Mesothelium(+++)(+++)(+++)000
 Interstitium 00(+/−)(++)(+)(+)

Immunohistochemical phenotyping of inflammatory infiltrating cells
CD419.611.58.851.0510.8ND
CD81.1501.050.92.25130
CD680.91.254.72.751.6618.8
CD203003101

Markers of endothelial cells phenotype
CD31#0.950.84.26.50.5ND

Markers of mesenchymal cells phenotype
Vimentin
 Mesothelium00(+)(+++)(+++)(+)
 Interstitium 00(+)(+++)(+++)(+++)

Markers of myofibroblasts
Alpha SMA00(+)(+++)(+++)(+++)

EPS: encapsulating peritoneal sclerosis; SMA: alpha-smooth muscle actin. ND: no data available (insufficiency of biopsy material). Semiquantitative score analysis: expression; high: (+++), moderate: (++), low: (+), and absent: 0. Score of quantitative evaluations: () mean number of cells or (#) vessels per field (details of all immunostaining analysis are described in Material and Methods).